Loading...
HomeMy WebLinkAbout2012-00937 - adv plan review . CITYOFORONO * Z0 12 - 00937 * � ' 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 FOX ST PIN : 02-117-23-31-0009 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 013 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 10,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMI"I':$ 10,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00936 APPLICANT ADVANCED PLAN REVIEW 124.64 ABD Consulting Services, LLC TOTAL 124.64 P.O. BOX 1 F MTKA MINNETONKA, MN 55345- (952)567-1365 OWNER Git of Orono ABD Consulting Services, LLC �� Ke�ey5Par�kNay �_�4�_�� P.O. BOX I F MTKA MINNETONKA, MN 55345- Receipt No: 3.�7644 5ep 18, 2d12 ABD Consulting AGREEMENT AND SWORN STATEMENT Previous balance: .OG Thc ti�ork for which this permit is issued shall be performed according to P�Y'I�1t5 thc approved plans and spccifications,applicable City approvals,and the Plan Reviea► 1�4•� State Building Code. l'his permit is for only the work described and does 1�1-3�$la not grant pennission for additional or related work which requires separate Plan Cheek/Site Exaiu Fees__`Y_____`y permits. All provisions oY laws and ordinances governing this typc of work TGtai: 1�C4.64 shall be compied wi[h whether or not specified herein.This permit will =�___�___e_= expire and become null and void if construction authorized is not Cheek commenced within 180 days of the date of issuance,or if construction is �h�Ck �: 5131 1�4.�t suspended for a period of 180 days at any time after work has commenced. Pa 8r: The applicant is responsible fi�r assuring all required inspections are AB� Consult ing requesled in conformance with the State Building Code.This pennit may be Tptdl Appi 12�; 1�4•64 revoked at any time for due cause. -------------- Chanoe Tendered: .OU / / / / Applicant Yermitce Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - � City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: �g,��. PO Box66 �c� O Crystal Bay, MN 55323-0066 Date received: ��c=s�,-:. I _ Received by: �a �( -�'` a� , Sfreet Address: �, \�'�n �� �' � ���' 2750 Kelley Parkway Plan review fee: � ,�: r`�, ��'; Orono, MN 55356 e �Dggpg'� - Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: l�' � ,�fC, �'� d/�C' n ;����� Will this be a Parade of Homes, Remodelers Showcase Horne or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: office cell Mailing Address: ��r= City: ZIP: Contact Person: �� Appiicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: /�bt� �o�1S� l�i�� .S-�.L�lJi c.-P_l C�C� L Phone (day): GI S z S�7 ���s Address: .�„�. (�, �f�x � � City: !'h�"�,� ZIP: s�3��— Email and/or Fax 9 s-Z t�6� ���–� ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑ Addition attached garage [�arage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building [✓]�Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) G'��-JL.. ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ""Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Wefl Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��/ �vv ` � , � I � i , ii II � � � :Z Z� � j �y�C I / ,r-s ��`-�� �')C ���'/Z ._' G�='G .� 7 ���� �n � � __ __ �/-�'�K. /�`�' -��/�•�� r�i-�'.. ��?L-;�`e�. /Z s� ��` . � ��/ �G,�/ "� �� � � � ,� �z, ✓ ��.. ��Ga�z,��� �--.— ��il��� � ���-�,� �,��� � Z�.�-Z - �,,.�� . � I � � : /�t'�.�./-� �G��....S�r�jl.�z ' `��� �--�J' C C �. I ��� � � �� � �=. ��} x � � � �r-fi�� ,��,� �.�5�.�' � i _ ���� C.�z..� -�`:�-`'-� ��-� 1 � ;� � ; � i _ � � � i � il I i � � i I � 1 � j! � � � ii � I � ;